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Effect of an Education Programme for Patients With Osteoarthritis in Primary Care - a Randomized Controlled Trial

This study has been completed.
Sponsor:
Collaborator:
Primary Health Care RD-Unit of region Skåne
Information provided by:
Lund University
ClinicalTrials.gov Identifier:
NCT00979914
First received: September 17, 2009
Last updated: December 23, 2009
Last verified: September 2009

September 17, 2009
December 23, 2009
March 2008
March 2009   (final data collection date for primary outcome measure)
  • EQ5D [ Time Frame: At baseline and at follow-up after 6 months ] [ Designated as safety issue: No ]
  • Arthritis self-efficacy scale [ Time Frame: At baseline and at follow up after 6 months ] [ Designated as safety issue: No ]
  • One-leg rising from sitting to standing [ Time Frame: At baseline and at follow up after 6 months ] [ Designated as safety issue: No ]
  • Grip Ability Test [ Time Frame: At baseline and at follow up after 6 months ] [ Designated as safety issue: No ]
Same as current
Complete list of historical versions of study NCT00979914 on ClinicalTrials.gov Archive Site
  • Bipedal rising from sitting to standing [ Time Frame: At baseline and at follow up after 6 months ] [ Designated as safety issue: No ]
  • One-legged jump [ Time Frame: At baseline and at follow up after 6 months ] [ Designated as safety issue: No ]
  • Standing on one leg with eyes open and standing on one leg with eyes closed [ Time Frame: At baseline and at follow up after 6 months ] [ Designated as safety issue: No ]
Same as current
Not Provided
Not Provided
 
Effect of an Education Programme for Patients With Osteoarthritis in Primary Care - a Randomized Controlled Trial
Not Provided

Osteoarthritis is a common disease. The core treatment is often patient education. The aim of this study is therefore to study the effect of a patient education programme for patients with osteoarthritis in primary health care.

Osteoarthritis (OA) is a degenerative disease, considered to be one of the major national diseases that cause suffering for affected patients and costs for society.The predominant symptoms are pain, stiffness and impaired quality of life, often together with psychological distress. Treatment often consists of medication. Later in the disease, when the joint is destroyed, joint replacement surgery commonly occurs. Physical exercises aimed to increase muscle strength, endurance, proprioception and stability have proved to influence cartilage as well as function, symptoms and quality of life positively. Physical exercise may also reduce the need for hospital care after knee joint replacement.

Research suggests that patient education is feasible and valuable in terms of improvements in quality of life, in function, in well-being and improved coping . Accordingly, guidelines recommend education as a core treatment for osteoarthritis.

Patient education programmes are often defined as a planned learning experience to influence a patient's knowledge and health behaviour [13]. There are various types of patient education. It can be given by a physician as part of consultation, in small groups or delivered by a multi-disciplinary team [13, 14] Since 1994, Primary Health Care in Malmö has used a patient education programme directed towards OA. The programme has been developed by physiotherapists and occupational therapists in primary health care and has been implemented in the ordinary work.

Interventional
Not Provided
Allocation: Randomized
Endpoint Classification: Efficacy Study
Intervention Model: Parallel Assignment
Masking: Single Blind (Outcomes Assessor)
Primary Purpose: Treatment
Osteoarthritis in the Hip, Knee and Hand
Other: Patient education programme
The intervention consisted of five group sessions, three hours for each session. The focus was on self-efficacy. Eight to ten patients participated in the programme at the same time.
  • Experimental: Patient education programme
    Patients with osteoarthritis who were referred to the patient education programme.The patients followed the patient education programme.
    Intervention: Other: Patient education programme
  • No Intervention: Control
    Patients randomized to control group
    Intervention: Other: Patient education programme

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Completed
100
March 2009
March 2009   (final data collection date for primary outcome measure)

Inclusion Criteria:

  • Clinical diagnosis of osteoarthritis

Exclusion Criteria:

  • Must be able to speak and understand swedish
Both
Not Provided
No
Contact information is only displayed when the study is recruiting subjects
Sweden
 
NCT00979914
PEPOA
No
PhD, RPT Eva Ekvall Hansson, Lund University
Lund University
Primary Health Care RD-Unit of region Skåne
Principal Investigator: Eva Ekvall Hansson, PhD Lund University
Lund University
September 2009

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP